Massive bleeding in portal hypertension - endoscopic, surgical or endovascular management?

Abstract

Upper gastrointestinal bleeding is a serious and potentially life-threatening abdominal emergency. An important diagnostic goal is to determine the cause and localize the bleeding site(s), which is crucial for choosing an appropriate therapy and consequently also for the long-term result.

Our case report presents a patient with recurrent upper gastrointestinal bleeding where even repeated endoscopic, surgical and endovascular interventions were not sufficient to determinate the cause of bleeding and to save the patient's life.

Keywords

• portal hypertension
• hepatic cirrhosis
• variceal bleeding
• ulcerative bleeding